COMMUNITY CARE POCATELLO
NPI 1538517156
Family Medicine in Pocatello, ID

Active since May 25, 2016
1595 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 233-0032 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Care Pocatello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE POCATELLO (NPI 1538517156) is a healthcare organization registered as a family medicine in Pocatello, Idaho and active in the NPI registry since May 2016. The organization lists Joshua Tolman, Cao, as its authorized official.

NPPES Registry Identity

NPI1538517156
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCC POCATELLO LLC
Location Address1595 YELLOWSTONE AVEPocatello, ID 83201-4203
Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407 · (208) 557-2700
Organization SubpartYesParent: Mountain View Hospital Llc
Authorized OfficialJoshua TolmanCao · (208) 557-2700
Enumeration DateMay 25, 2016
✔ NPI 1538517156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1595 YELLOWSTONE AVE, Pocatello, ID 83201

Other Names 1

Doing Business AsCommunity Care Pocatello

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Care Pocatello is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Community Care Pocatello, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner24
Family Practice4
Osteopathic Manipulative Medicine2
Internal Medicine1

Nearest to this location (20)

See all 31
Nurse Practitioner
NPI 1720410012
210 W BURNSIDE AVE STE D
Chubbuck, ID 83202
(208) 850-9125
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1609640333
495 YELLOWSTONE AVE
Pocatello, ID 83201
(208) 425-1620
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1124569108
570 REDMAN ST
Chubbuck, ID 83202
(602) 703-4196
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1285295634
2185 STEVEN ST
Pocatello, ID 83201
(208) 241-9522
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1265155204
2010 DIANE LN
Pocatello, ID 83201
(208) 241-8630
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1255947255
5067 CAMDEN ST
Chubbuck, ID 83202
(208) 840-0044
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1841784535
465 MEMORIAL DR
Pocatello, ID 83201
(208) 234-4700
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1306674197
6291 W POCATELLO CREEK RD
Pocatello, ID 83201
(208) 589-9832
✔ PECOS✔ Accepts Medicare5.4 mi
Internal Medicine
NPI 1134579576
700 E ALICE ST
Blackfoot, ID 83221
(208) 785-1200
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1578518395
1441 PARKWAY DR
Blackfoot, ID 83221
(208) 785-2600
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1174464929
2455 BLUE CAMAS WAY
Idaho Falls, ID 83402
(208) 242-8036
✔ PECOS✔ Accepts Medicare44 mi
Osteopathic Manipulative Medicine
NPI 1063862977
1582 ELK CREEK DR
Idaho Falls, ID 83404
(208) 881-0227
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1487125969
3450 POTOMAC WAY
Idaho Falls, ID 83404
(208) 557-2900
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1700594967
3360 WASHINGTON PKWY STE 2
Idaho Falls, ID 83404
(208) 932-7024
✔ PECOS45 mi
Nurse Practitioner
NPI 1285392720
765 S UTAH AVE
Idaho Falls, ID 83402
(208) 525-2600
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1801550553
765 S UTAH AVE # 5093
Idaho Falls, ID 83402
(208) 525-2600
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1194693689
689 NEPTUNE DR
Idaho Falls, ID 83402
(208) 680-9766
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1639442973
2730 CHANNING WAY
Idaho Falls, ID 83404
(208) 542-7100
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1043074537
2725 CHANNING WAY
Idaho Falls, ID 83404
(208) 535-8448
✔ PECOS✔ Accepts Medicare46 mi
Osteopathic Manipulative Medicine
NPI 1689037129
23 S 8TH ST
Ashton, ID 83420
(208) 652-3396
✔ PECOS✔ Accepts Medicare95 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cc Pocatello LLC's NPI number?

The NPI number for Cc Pocatello LLC is 1538517156. It was assigned to this organization in the NPPES registry on May 25, 2016. The provider is doing business as Community Care Pocatello.

Where is Cc Pocatello LLC located?

Cc Pocatello LLC is located at 1595 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 233-0032.

What is Cc Pocatello LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cc Pocatello LLC enrolled in Medicare?

Yes. Cc Pocatello LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cc Pocatello LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 4 Medicare specialties reassign their Medicare billing to Cc Pocatello LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Family Practice (4) and Osteopathic Manipulative Medicine (2). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cc Pocatello LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Cc Pocatello LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cc Pocatello LLC was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.